MEDICARE: CHRISTAL BAE LAC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	GA602	GA

General Provider Information

NPI Number	:	1558217414
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTAL BAE LAC.

Provider Business Mailing Address
First Line	:	2085 NOBLIN RIDGE TRL
Second Line	:
City	:	DULUTH
State	:	GA
Zip	:	30097-7316
Country	:	US
Telephone Number	:	470-326-0583
Fax Number	:

Provider Business Practice Location Address
First Line	:	327 DAHLONEGA ST STE B1803
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-8217
Country	:	US
Telephone Number	:	470-326-0583
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2026
Last Update Date	:	03/04/2026

Similar Medicare Providers

1336142199 — DR. KATHRYN ENGLAND DEMPSEY DC
Practice Location Address:

327 DAHLONEGA ST , STE B1801
CUMMING, GA
30040-8217

Practice Phone: 770-205-8433
Practice Fax: 770-205-7793

1053620526 — WENDY EUN KYOUNG CHOI L.AC.
Practice Location Address:

327 DAHLONEGA ST STE B1803
CUMMING, GA
30040-8217

Practice Phone: 770-284-0507
Practice Fax:

1164767893 — MRS. BEATRICE MORENO KRYLOWSKI MS, LPC
Practice Location Address:

327 DAHLONEGA ST STE B1801
CUMMING, GA
30040-8217

Practice Phone: 770-302-3651
Practice Fax:

1376103069 — DYAD CARE, LLC
Practice Location Address:

327 DAHLONEGA ST STE B1804
CUMMING, GA
30040-8217

Practice Phone: 229-360-6676
Practice Fax: 470-600-0925

1316507445 — MCKALE ASHLEY FLEMING BA, IBCLC, LMT
Practice Location Address:

327 DAHLONEGA ST STE B1804
CUMMING, GA
30040-8217

Practice Phone: 229-360-6676
Practice Fax: 470-600-0925

1013467570 — JILL MORICH WEBB PMHNP
Practice Location Address:

5965 PARKWAY NORTH BLVD STE C
CUMMING, GA
30040-1431

Practice Phone: 770-886-5700
Practice Fax: 770-886-0404

Directions to “ CHRISTAL BAE LAC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.